Segal, Robert M

Segal, Robert M is an individual health care provider with primary practice located at 2325 Chicago Ave Childrens Primary Clinic Mpls, Minneapolis MN 55404-3843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Segal, Robert M can be contacted via phone (612) 813-6107.

Contact Information

Primary practice address
2325 Chicago Ave Childrens Primary Clinic Mpls Minneapolis MN 55404-3843
Phone: (612) 813-6107
Fax: (612) 813-7473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34077 Minnesota

Profile Details

NPI number 1992798078
LBN Legal business name Segal, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992798078 NPPES
Minnesota MEDICAID 091005800

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